Is getting filler such as Juvederm or Restylane in the forehead for a deep crease an off label procedure and what are the risks associated with putting the filler in this area?I have had Botox already and the deep line is still pronounced and hasn't decreased at all. My dermatologist won't put filler in this area because of the risk of necrosis. Please help with what are my choices and the risks are for this problem. See attached photo (this is after Botox treatments).
Answer: Restylane or Juvderm can be used in your forehead lines Juvederm or Restylane to fill in forehead lines is off-label like many other uses of these products. I routinely use fillers in forehead lines that do not respond completely to Botox. I have used Juvederm, Restylane, Radiesse, Evolence, Elevess on scores of patients with no complications. I think the risk of skin necrosis (barring intravascular injection) is extremely small if the product is injected intradermally by an injector experienced in this area.
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Answer: Restylane or Juvderm can be used in your forehead lines Juvederm or Restylane to fill in forehead lines is off-label like many other uses of these products. I routinely use fillers in forehead lines that do not respond completely to Botox. I have used Juvederm, Restylane, Radiesse, Evolence, Elevess on scores of patients with no complications. I think the risk of skin necrosis (barring intravascular injection) is extremely small if the product is injected intradermally by an injector experienced in this area.
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Answer: Restylane for forehead crease Hi Trish, The risk of necrosis in this area is higher than other areas of the face. But just like all "off label" uses of injection products, the results and potential for side effects will depend on the skill of your practitioner. We certainly respect the choices your physician is making in regard to injecting the forehead, but we believe Restylane is a good option for your problem and an option that we have used in many cases like yours. Good luck.
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Answer: Restylane for forehead crease Hi Trish, The risk of necrosis in this area is higher than other areas of the face. But just like all "off label" uses of injection products, the results and potential for side effects will depend on the skill of your practitioner. We certainly respect the choices your physician is making in regard to injecting the forehead, but we believe Restylane is a good option for your problem and an option that we have used in many cases like yours. Good luck.
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August 3, 2009
Answer: Juvederm or Restylane are often used to treat forehead wrinkles with Botox Juvederm or Restylane are facial fillers which can often be used in conjunction with Botox to treat forehead wrinkles. Having said this, Botox for most people works great by itself; and is used for the horizontal forehead wrinkles, the vertical lines between the brows and the crows feet lines around the eyes. However, sometimes, the vertical lines between the eyes are very deep and entrenched. That is when you know one of the facial fillers may be necessary. While complications can occur, I have treated hundreds of patients in this manner without even a hint of ulcerations.
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August 3, 2009
Answer: Juvederm or Restylane are often used to treat forehead wrinkles with Botox Juvederm or Restylane are facial fillers which can often be used in conjunction with Botox to treat forehead wrinkles. Having said this, Botox for most people works great by itself; and is used for the horizontal forehead wrinkles, the vertical lines between the brows and the crows feet lines around the eyes. However, sometimes, the vertical lines between the eyes are very deep and entrenched. That is when you know one of the facial fillers may be necessary. While complications can occur, I have treated hundreds of patients in this manner without even a hint of ulcerations.
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July 30, 2009
Answer: Forehead, eyebrow shaping Dear Trish You have a very good question and are correct about the 'off label' use of fillers in the forehead but it can be done safely. The combination of the fillers and Botox can give a very long lasting and pleasing result. With Warm Regards, Trevor M Born MD
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July 30, 2009
Answer: Forehead, eyebrow shaping Dear Trish You have a very good question and are correct about the 'off label' use of fillers in the forehead but it can be done safely. The combination of the fillers and Botox can give a very long lasting and pleasing result. With Warm Regards, Trevor M Born MD
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March 23, 2015
Answer: Juvederm/Restylane Injected in Vertical Forehead Lines, Better When Done Concurrently with Botox Hi Trish, Both Juvederm and Restylane can be used "off-label" to fill the vertical forehead lines between the eyebrows (glabellar lines). In fact, when Botox and either Juvederm or Restylane is used concurrently in this area, there is a synergistic effect that creates a very long lasting (many times permanent) elimination of the lines, even when the Botox wears off. If your dermatologist is uncomfortable injecting in that area, certainly do not have him/her inject you. You do need to choose a very well trained and experienced injector for this treatment as severe complications have been reported if injected in the incorrect manner. Good luck and be well. Dr. P
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March 23, 2015
Answer: Juvederm/Restylane Injected in Vertical Forehead Lines, Better When Done Concurrently with Botox Hi Trish, Both Juvederm and Restylane can be used "off-label" to fill the vertical forehead lines between the eyebrows (glabellar lines). In fact, when Botox and either Juvederm or Restylane is used concurrently in this area, there is a synergistic effect that creates a very long lasting (many times permanent) elimination of the lines, even when the Botox wears off. If your dermatologist is uncomfortable injecting in that area, certainly do not have him/her inject you. You do need to choose a very well trained and experienced injector for this treatment as severe complications have been reported if injected in the incorrect manner. Good luck and be well. Dr. P
Helpful 3 people found this helpful